A patient hospitalized for heart failure exacerbation has been receiving 40 mg furosemide IV twice daily. What statement by the client would alert the nurse to a possible toxic effect of this medication?
My stomach is distended, and I haven't had a bowel movement in 3 days
This IV site seems irritated, it's red and painful
Everything has started sounding muffled, I'm having difficulty hearing
I feel like I've done nothing but urinate since I've been here
The Correct Answer is C
Choice A reason: This choice is incorrect because stomach distension and constipation are not common side effects of furosemide. They may be related to other causes, such as diet, fluid intake, or medication interactions. The nurse should assess the client's abdominal status and bowel habits and provide appropriate interventions, such as increasing fiber, fluids, or laxatives.
Choice B reason: This choice is incorrect because IV site irritation, redness, and pain are not specific side effects of furosemide. They may be caused by other factors, such as infection, infiltration, or phlebitis. The nurse should inspect the IV site and catheter and change them if needed. The nurse should also monitor the client's vital signs and blood cultures for signs of infection.
Choice C reason: This choice is correct because hearing loss or impairment is a rare but serious side effect of furosemide. It can occur due to damage to the inner ear or the auditory nerve. It may be temporary or permanent, depending on the dose and duration of furosemide therapy. The nurse should stop the infusion of furosemide and notify the provider immediately. The nurse should also assess the client's hearing and balance and provide safety measures.
Choice D reason: This choice is incorrect because frequent urination is an expected effect of furosemide. Furosemide is a diuretic that increases the excretion of water and electrolytes through the urine. It helps to reduce fluid overload and edema in clients with heart failure. The nurse should measure and record the client's intake and output and monitor the client's fluid and electrolyte status.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["15"]
Explanation
To calculate the amount of the amoxicillin liquid suspension that the nurse should administer, we can use the following formula:
Amount to administer (mL) = (Desired dose in mg) / (Amount of drug in 1 mL)
Given:
Desired dose = 750 mg
Amount of drug in 1 mL = 250 mg/5 mL = 50 mg/mL
Now, let's calculate the amount to administer:
Amount to administer (mL) = 750 mg / 50 mg/mL
Amount to administer (mL) = 15 mL
Rounding to the nearest whole number, the nurse should administer 15 mL of the amoxicillin liquid suspension.
Correct Answer is ["25"]
Explanation
To calculate the IV flow rate in drops per minute (gtt/min) for the administration of clindamycin, we can follow these steps:
First, we need to determine the total number of minutes for the infusion, which is given as 1 hour:
1 hour × 60 minutes/hour = 60 minutes
Next, we calculate the total number of drops needed for the infusion:
The total volume to be infused is 100 mL.
The drop factor is 15 gtt/mL.
100 mL × 15 gtt/mL = 1500 gtt
Calculate the IV flow rate in drops per minute:
1500 gtt ÷ 60 min = 25 gtt/min
Rounding to the nearest whole number, the nurse should set the IV flow rate to deliver 25 gtt/min.
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